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Gary L Cushing, M.D.

Internal Medicine, Gastroenterology in San Luis Obispo, CA. Individual provider (NPI-1).

NPI number1962483545
StatusActive
Last updated in NPPESSep 7, 2018

Details

NPI
1962483545
Entity type
Individual (NPI-1)
Name
Gary L Cushing
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 9, 2005
Last updated
Sep 7, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, GastroenterologyA45253CAYes
174400000X SpecialistA45253CA

Practice location

1551 Bishop St
Suite 510
San Luis Obispo, CA 93401

Phone 805-549-7843 · Fax 805-549-8692

Mailing address

4488 Cross Creek Way
San Luis Obispo, CA 93401-8388

Phone 805-801-5355

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